payne



2 Sheets-Sheet 1. PAYNE.

TRUSS.

(NO Model.) 7

W. &W. H.

No. 430,676. Patented June 24, 1890.

Jnvsnfurs Hizsaf f l/M f? (No Model.) I 2 SheetsSheet 2. W. & W. H. PAYNE.

TRUSS.

No. 430,676. Patented June 24, 1890.

UNITED STATES PATENT OFFICE.

VILLIAM PAYNE AND WVILLIAM HENRY PAYNE, OF THAMESFORD, ONTARIO, CANADA.

TRUSS.

SPECIFICATION formingpart of Letters Patent No. 430,676, dated June 24, 1890.

Application filed July 16, 1888. Serial No. 280,125x (N0 model.)

an improved device or instrument to keep hernia reduced or to retain the intestines Within the abdominal cavity when the lining becomes torn or ruptured; and it consists of the 1mproved construction and combination ofparts of the same, as will be hereinafter more fully described and claimed.

Reference is had to the accompanying drawings already mentioned, wherein Figure 1 is a perspective view of a truss embodying our invention. Figs. 2, 3, aud t are separate detail perspective views of the pad, spring, and frame, respectively. Fig. 5 is a cross-sectional view of the frame and connections on the line 00 as of Fig. 4. Fig. 6 is a sectional view of the pad, showing a concave formed in its convex face. Figs. 7 and 8 are plan and cross-sectional views, respectively, of the buckle which secures the belt to the hooks on the slides secured in the frame. Fig. 9 is a perspective view of a double truss embodying our invention. Figs. 10 and 11 are perspective views of the extended frames used in a double truss. Fig. 12 is a cross-sectional view on the line z z of Fig. 9.

A designates aframe, which may be formed fiat; but it is preferably dished, as shown in Figs. 4 and 5, in order to form a recess for the springF, and also to prevent the edges of said frame from wearing the clothes, and also to enable the buckles I and the ends of the belt H, secured thereto, to Work perfectly free on said frame.

B designates a pad, (shown in Figs. 2 and 6,)

which may be secured to the frame Aby any yielding pliable connection; but they are preferably secured together and held at any required distance apart by a coil-spring O, a portion of which at one end is secured to the pad B, and a portion of which at the other end is secured to three sides of the frame A. This not only forms a secure connection, but also forms an easy pliable support for the pad B, which permits it to give and adapt itself to the different strains thereon, as well as to the different positions of the body of the wearer. These pads B and frames A may be formed of any suitable size or shape and of any suitable material; but they are preferably formed of metal and plated, because a very thin plate of metal is sufficient to form a strong and durable device. At the same time it is light and not noticeable under the clothes of the wearer. This pad B and frame A may be and are preferably covered with chamois leather B or any other suitable material, to prevent the metal plate from coming in direct contact with the body; and the pad B may be formed with perforations B (shown particularly in Figs. 2 and 6) to permit of the circulation of air for thepurpose of keeping the ruptured parts cool, and to prevent chafing, and this pad B may be formed with a plain convex face; but it is preferably formed with a concave B (shown particularly in Fig. 6) in its convex face; and this concave is made to conform with the shape of the rupture as much as possible,so that the edges of the convex face around the concave portion will rest on the sound part of the body around the rupture, while the slight concavity B will come opposite and hold the intestines in place. This concavity 13 holds the intestines in the abdomen, at the same time the edges of the concave tend to draw the edges of the torn or ruptured lining together to permit them to reunite, so thatwhen they have firmly adhered together the truss may be dispensed with; but if the rupture were adjacent to the thigh, and if the end of the pad rested thereon when in proper position to keep the hernia reduced, the concave 13 would leave too much space between the protruding bowels and the pad. In this case the concave portion B might be dispensed with and the pad with the plain convex face would be preferable, or the pad may slightly project at this point; but these latter conditions very rarely occur. They are described simply to show the adaptation of this pad to all forms of rupture in any place or position, for this pad will work equally as well in this position as in front of the bowels, where ruptures most frequently occur, so that this truss may be adapted to hernia to keep it reduced when in any place or position on the body.

D D and D designate slides fitted to slots E E and E in the frame A. (Shown particularly in Figs. 4 and 5.) These slides D D and Dare provided with flanges (1 which extend over on the frame A and hold said slides in place in their backward and forward move ment in said slots E E E. These slides D D D are connected to one or more coil-springs F, which tend to draw the slides toward the center of the frame A, and to each of these 1 slides one or more hooks G are secured or formed integral therewith, as shown in Fig.

5, or separate slides may be used for each of the hooks G, and one or more slides may be 7 used, as required.

body in proper position to keep the intestines in the abdominal cavity. belt or band I'I may be secured to the frame A by any suitable securing devices; but they are preferably secured thereto by a buckle I. (Shown particularly in Figs. 7 and 8.) The slots I in the buckles I engage with the hooks G, and the end of the belt or band H may be secured to the buckle I by any suit-E able securing devices; but it is preferably secured thereto by the pivotal eccentric-flap body, and when properly adjusted is rigidly held therein by adjusting the pivotal flap to the position shown by solid line I in Fig. 8; and the coil-spring F may be in the form of a flat or other suitable spring, or in the form of an elastic band or anyother device that would form a tension on the ends of the belt or band H, which would hold the said belt and attachments safely and securely tov the body of the wearer, and both ends of the belt H, being permitted by this spring F to give a little, according to the different positions of the body of the wearer, the pressure of the belt and pad is equalized, so that it The ends of this will not catch and strain on one place more than another, but will be equalized over the entire length of the belt H and pad 13.

J and J are leg-straps, which pass down and around the leg 'to prevent the belt II and attachments from working upward or moving out of place. The leg-strap J is attached to the frame A by the buckle I engaging with hooks G on the slide D, and the latter is. connected to the spring F and works in slot E, and flanges d are formed on this slide D to hold it in the slot E, and a tension is formed on the leg-strap J by the spring F, all the same as before described, for securing the belt II to the frame A, and one end of the leg-strap J is secured to the leg-strap J. The other ends of these legstraps J and J are attached to the belt H by buckles K.

In forming the double truss shown in Fig. 9, each of the frames A of the single trusses are extended at one side, and in one of the extensions of these frames is formed a series of perforations a, and the extension of the other frame with a perforation a andsecured to which is a spring L, formed with a stop m the latter being fitted to the perforations a and a and the extension of these frames A are provided with flanges a, (shown in Figs. 10 and 11,) which overlap on the opposite frame, as shown in Fig. 9, for the purpose of preventing the frames A from-being accidentally displaced laterally, and the perforations Ct and (652L113 on the same longitudinal line, so that when the framesAare moved lengthwise toward one another the perforations a and a will come opposite, when the springLwill project the stop a through these perforations a and a and rigidly secure them together to completely prevent any accidental displacement lengthwise.

When wishing to adjust the pads B to or from each other to adapt them to a double rupture, the stop a secured to the spring L, is raised out of the perforation CL, and the extended portions of the frame A are adjusted farther over on one another to shorten the space between the pads, or moved so that less of these extension-bars will overlap each other to widen the space between the pads, as required, and when once properly set they are securely held in that position by releasing the ends of the spring L, which immediately projects the stop a through the perforation (t and one of the other perforations a, which rigidly and securely holds the pads from moving lengthwise to or from each other, but safely and securely holds them in the position to which they are adjusted.

In a double truss the leg-straps J J cross and are secured to each other at that point, and are also both secured one to each frame A by the buckles I and both to the belt H by buckles K, and to three sides of each of In testimony whereof we affix our signathe frames A a coil-spring O and pad B are tures in the presence of the two undersigned secured similar to a single truss. Witnesses.

Having thus described our invention, We 5 claim-- WILLIAM PAYNE.

The frame A, formed With one or more WILLIAM HENRY PAYNE.

slots E and one or more slides D, fitted there to, and the slides D formed with one or more WVitnesses:

hooks G and flanges d?, and spring F, in P. J. EDMUNDS, Io combination with the belt H, spring (Land A. EDMUNDS.

pad B, as and for the purpose set forth. 

